Mathew Moore, | |
1460 Drew Ave Ste 200, Davis, CA 95618-4856 | |
(530) 753-9011 | |
Not Available |
Full Name | Mathew Moore |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 1460 Drew Ave Ste 200, Davis, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295825644 | NPI | - | NPPES |
1689606469 | Other | CA | PHYSICAL EDGE, INC. |
1770675639 | Other | CA | PHYSICAL EDGE INC. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 22276 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physical Edge, Inc. | 7214990399 | 6 |
Provider Name | Physical Edge, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770675639 PECOS PAC ID: 7214990399 Enrollment ID: O20041109001110 |
Mailing Address | Practice Location Address |
---|---|
Mathew Moore, 2763 Concord Ave, Davis, CA 95616-6103 Ph: () - | Mathew Moore, 1460 Drew Ave Ste 200, Davis, CA 95618-4856 Ph: (530) 753-9011 |
Audrey Mott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter Ste 200, Davis, CA 95616 Phone: 530-758-2222 | |
Alyssa Borchert, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1500 Shasta Dr Apt 135, Davis, CA 95616 Phone: 808-292-1051 | |
Daniel Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 Ponteverde Ln, Davis, CA 95618 Phone: 530-758-1508 Fax: 530-758-1508 | |
Jolie Gonzalez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter, Suite 200, Davis, CA 95616 Phone: 530-758-2222 | |
Dr. Leigh Quill, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 | |
Jennifer Ferguson Rhoads, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 | |
Edward T. Barakatt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 |